Malaria Vaccine Rollout in Nigeria: Current Status and Challenges.
Samuel Adeniyi Oyegbade, Samson Olusola Adeboye, Gbotemi Jerry Oni et al.
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In 30 seconds
This systematic review examined implementation, awareness, acceptance, willingness to pay, and health system readiness for malaria vaccine rollout in Nigeria. It included 12 eligible studies identified through searches of published and gray literature from 2015–2026. Caregiver acceptance was generally high but varied by location, while awareness was uneven. Facility preparedness scores ranged from 33% to 51%; advocacy and social mobilization scored 0% across the three assessed facilities. The review concludes that health system strengthening, targeted communication, and sustainable public financing are needed for successful nationwide rollout.
Key findings
- Caregiver acceptance ranged from 76.6% in Lagos to 95.6% in Owerri, and exceeded 90% in Enugu, Ondo State, and Gombe.
- Caregiver awareness ranged from 9.7% in Lagos to 72.1% in Enugu.
- Overall facility preparedness scores ranged from 33% to 51%; advocacy and social mobilization were at 0% across all three facilities.
- In Enugu, median willingness to pay was USD $0.82 per dose; 90% of respondents nationally preferred government-funded vaccination.
Why it matters
The review indicates that public acceptance alone may not ensure effective vaccine delivery: awareness varies, health professionals report knowledge gaps and concerns, and assessed facilities show substantial readiness shortfalls. These findings highlight the importance of considering communication, workforce preparation, service capacity, and financing together when planning malaria vaccine implementation.
What to keep in mind
The review included 12 studies, and reported acceptance and awareness varied by location. Facility readiness findings were based on three facilities, limiting how broadly those assessments can be applied.